Robotic Prostate Surgery is a treatment for prostate cancer. It is aimed at eliminating the entire prostate gland. The procedure is presently conducted through laparoscopic or robotic techniques.
Open prostate surgery involves removal of the prostate gland through a large incision made in the lower abdomen. On the other hand, laparoscopic prostate surgery involves incisions of key-hole size for inserting a laparoscope, a lighted viewing instrument into the pelvic region. It also facilitates examination and prostate removal sans large abdominal incision.
Both robotic and laparoscopic prostate surgeries are minimally invasive techniques. These are performed to help surgeons easily operate through tiny ports as compared to large incisions. Also, this procedure results in shorter recovery times. Now patients can get operated with fewer complications and less number of hospital stays.
Benefits of Robotic Prostate Surgery
These advanced procedures are performed through small keyhole incisions. None of these incisions cut muscle of the patient. Robotic prostatectomy offers unmatched visualization of the area. This means surgeons can expect precise and perfect removal of the prostate. Also, the patients experience less blood loss. Other significant benefits include:
– Shorter recovery time
– Earlier removal of catheter (in just 7 days)
– Less number of days in hospital (only 1-2 days average)
– Faster healing
– Reduced postoperative pain
– No pain medications needed
– Quicker return to day to day normal activity (in 1-2 weeks)
– Faster joining at work (within 2-3 weeks)
Why Robotic Prostate Surgery?
The procedure is used for treating patients with prostate cancer. The best robotic surgeons for prostate recommend these procedures to patients who are candidates for open radical prostatectomy.
This surgery demands around 4-5 small, button-hole incisions. An experienced surgeon will use a very powerful, endoscope (high precision) through these incisions. A tiny camera and other requisite specialized surgical instruments are used to remove the prostate with complete precision.
How does a robotic-assisted surgery actually work?
There are three basic components of the computer-enhanced robotic surgical system:
- 3-D view of the surgical field which includes magnification, depth of field, and high resolution.
- Advanced instruments specifically designed for mimicking the movement of human hands, fingers, and wrists. This facilitates more accuracy and extensive motion range.
- The surgeon can easily manipulate instruments with the help of master controls. This translates natural wrist and hand movements of the surgeon into conforming, accurate and scaled movements. Steady robotic and robotic wrists help make surgeons to accurately manipulate tissue. They can work on the prostate from various angles as needed.
Robotic prostate surgery will take approximately 2-4 hours to perform.
Sexual Side Effects of Robotic Prostate Surgery
Since the surgery is very advanced and effective in sparing the nerve bundle responsible for erections, sexual side effects are kept to a minimum. The degree of sexual function post radical prostatectomy can be determined by several factors such as age, how sexually active he was prior to the procedure etc. Temporary erectile issues can be faced by patients after radical prostatectomy.
After Robotic Prostate Surgery
– The total operative time of a standard robotic prostate surgery is usually 2-4 hours.
– Patient requires a stay in the hospital for 1-2 days.
– The healthcare team will see the patient daily basis during their stay within the hospital. The patient will get detailed instructions for after-surgery care. These instructions are given before the discharge of the patient.
– The catheter (urine catheter) will come out on the fifth day. The patient needs to go through a special x-ray to check bladder (cystogram) before getting the catheter removed.
– Driving is not allowed for 7 days after prostate surgery.
– Patients do not require following any restrictions related to physical activities after surgery. They can indulge in whatever they can easily bear.
– Doctors may allow patients to have aspirin again once they start having regular meals.
– Medications to improve blood supply to the penis may be given.
– After a month of prostate surgery, the patient will be asked to go through their first PSA check. Another test will be scheduled after3-6 months.